and distorting the nipple. Age at presentation is between 10 to 18 years, and the disease is mon in the black population. ? ------ Gottfried W, et al. Surg, 2002,132:106-107?Giant (juvenile) fibroadenoma A giant or juvenile fibroadenoma is larger than 5 cm in diameter and sometimes doubles in size within 3 to 6 months, up to 15 or 20 cm; it press or replace normal breast tissue. It is mon than a normal fibroadenoma; however, like a typical fibroadenoma, the giant variant is mon in African-American youth and peaks in incidence in late adolescence. It tends to be mon than the smaller version in the young adolescent, and its consistency tends to be softer than the rubbery consistency of a smaller fibroadenoma.? ------ Donald E,et al. Prim Care Clin Office Pract. 2006,33: 455–502Р7/22/2018Р10